title: Reduced sexual risk behaviors among people living with HIV: Results from the Healthy Relationships Outcome Monitoring Project.
abstract: In 2006, the Centers for Disease Control and Prevention funded seven community-based organizations (CBOs) to conduct outcome monitoring of Healthy Relationships. Healthy Relationships is an evidence-based behavioral intervention for people living with HIV. Demographic and sexual risk behaviors recalled by participants with a time referent of the past 90 days were collected over a 17-month project period using a repeated measures design. Data were collected at baseline, and at 3 and 6 months after the intervention. Generalized estimating equations were used to assess the changes in sexual risk behaviors after participation in Healthy Relationships. Our findings show that participants (n = 474) in the outcome monitoring project reported decreased sexual risk behaviors over time, such as fewer number of partners (RR = 0.55; 95% CI 0.41-0.73, P < 0.001) and any unprotected sex events (OR = 0.44; 95% CI 0.36-0.54, P < 0.001) at 6 months after the intervention. Additionally, this project demonstrates that CBOs can successfully collect and report longitudinal outcome monitoring data.
authors.affiliation: Program Evaluation Branch, Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Atlanta, GA 30333, USA. JHeitgerd@cdc.gov
authors.forename: Janet L
authors.initials: JL
authors.lastname: Heitgerd
authors.forename: Elizabeth J
authors.initials: EJ
authors.lastname: Kalayil
authors.forename: Alpa
authors.initials: A
authors.lastname: Patel-Larson
authors.forename: Gary
authors.initials: G
authors.lastname: Uhl
authors.forename: Weston O
authors.initials: WO
authors.lastname: Williams
authors.forename: Tanesha
authors.initials: T
authors.lastname: Griffin
authors.forename: Bryce D
authors.initials: BD
authors.lastname: Smith
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American; D002487:Centers for Disease Control and Prevention, U.S.; D055812:Community-Based Participatory Research; D005260:Female; D015658:HIV Infections / Q000517:prevention & control*; D040361:Healthy People Programs; D006630:Hispanic or Latino; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D017063:Outcome Assessment, Health Care; D040242:Risk Reduction Behavior; D012309:Risk-Taking; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000517:prevention & control; D014481:United States